Individual ProviderAdam PetchersStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address47 New Scotland Avenue, Department Of Surgery, Albany, NY 12208(518) 262-5374PECOS EnrollmentBased on the most recent information from CMS, provider Adam Petchers is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1225533060Provider TypeIndividualFull NamePetchers, AdamGenderMaleSole ProprietorNoEnumeration Date3/26/2018Last Updated3/26/2018Contact InformationPractice LocationPractice Address47 New Scotland Avenue, Department Of Surgery, Albany, NY 12208Phone(518) 262-5374FaxUnlisted FaxMailing LocationMailing Address47 New Scotland Avenue, Department Of Surgery, Albany, NY 12208PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense64067